How can the study of families be scientific? What is the difference between postmodern and positivistic approaches? What is the role of models and metaphors in constructing our theoretical knowledge? In Advancing Family Theories, author James M. White addresses such difficult questions that have been longstanding issues within the field of family studies and examines these matters from a social science perspective. Advancing Family Theories explores two contemporary theories of the family-rational choice theory and transition (...) theory. These diametrically different approaches illuminate what differing theories reveal about families. The book also discusses how meta-theories can assist in building and refining theory and offers insight on the understanding versus explanation debate. Advancing Family Theories gives students a precise notion of what a theory is and how theories work in research. The book not only looks at philosophical realms but also examines particular substantive theory to explain and predict family behaviors. (shrink)

In this paper, we study the relationship between the cofinalityc(Sym(ω)) of the infinite symmetric group and the minimal cardinality $$\underset{\raise0.3em\hbox{$\smash{\scriptscriptstyle\thicksim}$}}{b} $$ of an unbounded familyF of ω ω.

The Patient in the Family diagnoses the ways in which the worlds of home and hospital misunderstand each other. The authors explore how medicine, through its new reproductive technologies, is altering the stucture of families, how families can participate more fully in medical decision-making, and how to understand the impact on families of medical advances to extend life but not vitality.

Medical decisionmaking would be a messier but better thing if it honored what is morally valuable about patients' families. The concerns of intimates have a legitimate call upon us even when we are ill.

Mary Ann Meeker’s article admirably reminds readers that family members are involved in—or “responsively manage”—the care of relatives with severe illness in ways that run considerably beyond the stereotypes at play in many bioethical discussions of advance directives. Her observations thus make thinking about the role of families in healthcare provision more adequate to the facts, and this is an important contribution. There’s reason to be worried, however, that one explicit aim of the article—to ease the standing anxieties that (...) many clinicians and ethicists have about the reliability of family members as proxy decision makers—will be frustrated by its very success. Those already inclined to suspicion may tend to think that the more intricate and pervasive the ways in which families influence the healthcare decision making of their sick, the more chances they have for altering the connection between patients’ interests and the actions of professional providers.To determine whether and when such alterations are something to be concerned about, we’ll need to supplement a better grasp of the pertinent facts with a deeper sense of how human agency works and why we value it. We may also need some reminders about the defensibility of diverse moral understandings. Although both professionals and family members may profess an ethic that sets patients’ interests above those of non-patients—as Meeker’s own results suggest—any strict allegiance to such a framework may be more notional than normative—as her findings also hint. The actual working norms (among professionals, as well as within families) will likely be more complex, but not necessarily any the less defensible for that. (shrink)

This paper addresses the project of philosophical autobiography, using two different perspectives. On the one hand, the societal, economic, and family contexts of William James are addressed, and connected a modern academic context of business ethics research, marketing and purchasing decision making, and the continuing financial crisis. The concepts of “stream of consciousness” and “acting as-if” are connected to recent literature on William James. On the other hand, the significance of family context, and the possible connection (...) between the William James family and the author, is addressed through shared family narratives interspersed throughout the paper. (shrink)

Three common assumptions of both liberal theory and political debate are the autonomy of the family, the principle of merit, and equality of life chances. Fishkin argues that even under the best conditions, commitment to any two of these principles precludes the third._“A brief survey and brilliant critique of contemporary liberal political theory…. A must for all political theory or public policy collections.” –_Choice_ “The strong points of Fishkin’s book are many. He raises provocative issues, locates them within a (...) broader theoretical framework, and demonstrates an urgent need for liberals to set certain priorities. His main message—that liberalism has radical implications for ordinary life—needs to be heard by many.” --Virginia L. Warren, _Michigan Law Review_ “A highly original and powerfully argued book…. Fishkin is undoubtedly right, and his warning needs to be taken seriously…. This is not a book that catechizes us about what we should believe concerning the practicalities of distributive justice. It is a book that advises us about how we need to think about beliefs that are already popular dogmas, in the interest of making sense.” –James Gaffney, _America_ James S. Fishkin_ is associate professor of political science at Yale University. He is also the author of _The Limits of Obligation_ and _Beyond Subjective Morality_. (shrink)

This book provides students with an understanding of the nature of family theory as well as a survey of six major theoretical frameworks to explain patterns of family life. Each theory is systematically explored.

This collection of 216 letters offers an accessible, single-volume distillation of the exchange between celebrated brothers William and Henry James. Spanning more than fifty years, their correspondence presents a lively account of the persons, places, and events that affected the Euro-American world from 1861 until the death of William James in August 1910. An engaging introduction by John J. McDermott suggests the significance of the Selected Letters for the study of the entire family.

Abstract:This study links Homeric and Machiavellian outlooks in Henry James's The Ambassadors. We first relate Lambert Strether's embassy seeking Chad's return to Woollett to what Alexander Pope famously designated the "Embassy to Achilles," i.e., the Achaean effort to induce Achilles's return to battle. Achilles impassionedly rejects the embassy's hypocrisy; he will not be bought. We then find Chad Newsome conspiratorially excluding Strether from the family fortune via intended marriage to Mrs. Newsome. Contrary to Achilles's forthrightness and integrity, Chad (...) and his Parisian circle adopt a post-Machiavellian ethos of deceit as the norm. (shrink)

This book is about the three kinds of plots that run the lives ofpatients--subservience, bureaucratic delay and overpowering. It isalso about the three kinds of psychotherapy that attempt to deal withthese plots: objective psychiatry, which deals with the outsidesurface; subjective psychiatry, which deals with the inside; andnarrative psychiatry, which attempts to deal with both.

Considerations of ethical questions regarding pets should take into account the nature of human-pet relationships, in particular the uniquely combined features of mutual companionship, quasi-family-membership, proximity, direct contact, privacy, dependence, and partiality. The approaches to ethical questions about pets should overlap with those of animal ethics and family ethics, and so need not represent an isolated field of enquiry, but rather the intersection of those more established fields. This intersection, and the questions of how we treat our pets, (...) present several unique concerns and approaches for focused examination. (shrink)

This dissertation presents an objection to Wittgenstein's concept of family resemblances, three possible solutions to the objection, evaluations of the solutions, and a sketch of Wittgenstein's approach to the objection. My thesis is that none of the three proposed solutions is satisfactory, but that Wittgenstein can deal with the objection. ;Chapter I presents the Problem of the Under-Determination of Extension, the claim that family resemblances are not enough to explain the extension of a concept, since resemblances may be (...) postulated between cases falling under different concepts. ;Chapters II and III discuss three solutions proposed by commentators on family resemblances. The Basic Predicates Solution claims that points of family resemblance are sufficient conditions, and is incorrect since Wittgenstein denies that one can infer the applicability of a concept based on the presence of a resemblance to an instance of the concept. The Simple Properties Solution claims that only some concepts are family resemblance concepts, and depend upon concepts which are not family resemblance concepts, and is incorrect, since Wittgenstein does not require that family resemblance concepts be reducible to non-family resemblance concepts. The Bi-Directional Determination of Concepts Solution is the claim that a concept is determined by an interaction between facts about cases subsumed under it, and needs and purposes of language-users. This solution is non-Wittgensteinian by ignoring the ramifications of his concepts of grammar and language-games. ;Chapter IV argues that Wittgenstein deals with the original objection by developing new models for understanding language, involving the concepts of grammar and language-games. (shrink)

The article by Professor Baergen and Dr. Woodhouse makes a succinct and serious contribution to progress in bioethical understanding of deciding for others. They begin with what is by now a familiar claim: family proxy decision makers may sometimes make decisions on behalf of incapacitated relatives that depart from what might be optimal from the patient’s point of view, since the well-being of family members, or of the family as such, may be substantially affected by the direction (...) of a patient’s care. They then develop this idea, noting that others apart from family members can also be substantially affected by a patient’s treatment, and arguing that the interests of strangers ought also to sometimes have a role in determining the aims and means of a patient’s treatment.Baergen and Woodhouse also devote attention to how extra-familial interests might be implemented in medical decision making. While I unearth a troubling consequence of the effort to realize their theoretical conclusion practically, my chief task is to point to some disanalogies between families and strangers, and consider the extent to which they call into question the relevance of the interests of strangers to the treatment of patients. (shrink)

With the development of the division of labor, the household has declined in importance as a unit of economic production. Yet even as the individual wage earner has assumed a central place in modern exchange economies, the household has still been seen as an important unit of distribution, in which wage earners provide for their non-income-producing family members. With the breakdown of the family in recent decades, however, the communal income-sharing function of the family has, in significant (...) part, been taken overby the state. In this essay, I examine this fundamental change in the structure of production and distribution in modern exchange economies. Going beyond this, I propose a new structure of markets–markets for rights to influence collective decision-making within a society. Such markets, I suggest, wouldprovide a source of income for each member of the society. (shrink)

Key Topics in Clinical Research aims to provide a short, clear, highlighted reference to guide trainees and trainers through research and audit projects, from first idea, through to data collection and statistical analysis, to presentation and publication. This book is also designed to assist trainees in preparing for their specialty examinations by providing comprehensive, concise, easily accessible and easily understandable information on all aspects of clinical research and audit.

The following little paper has a rather large scope. No particular issue or problem has occasioned this text; rather, it presents a mini-treatise on love, marriage, and parenting. The attempted method is quasi-Hegelian: to allow one topic to engender a further topic, and this in turn to engender a third, etc., while avoiding at any stage anticipations of later topics. If reasoning in accordance with this dialectical method is successful, the result is a system of topics, but it is contingent (...) whether or not these topics can be employed as knowledge of the historical world. Indeed, some of the topics considered below cannot be employed descriptively under present historical conditions. Thus, those who would execute this dialectical project must renounce any claim that the system of topics has more than a contingent relation to knowledge, but it would be utter misology to denigrate this project merely because it requires this renunciation. (shrink)

Many adoptees face a number of challenges relating to separation from biological parents during the adoption process, including issues concerning identity, intimacy, attachment, and trust, as well as language and other cultural challenges. One common health challenge faced by adoptees involves lack of access to genetic-relative family health history. Lack of GRFHx represents a disadvantage due to a reduced capacity to identify diseases and recommend appropriate screening for conditions for which the adopted person may be at increased risk. In (...) this article, we draw out common features of traditionally understood “health disparities” in order to identify analogous features in the context of adoptees’ lack of GRFHx. (shrink)

The major mechanism of repair of damage to DNA involves a conceptually simple process of enzymatic excision and resynthesis of small regions of DNA. In man and other mammals, this process is regulated by several gene loci; up to 15 mutually complementary genes or gene products may be involved. Repair deficiency results in an array of clinical symptoms in skin, central nervous system, and hematopoietic and immune systems, the major example being xeroderma pigmentosum (XP), a disease with a high incidence (...) of cancer. Cloning repair genes by straightforward methods has proved difficult, but we have begun the effort by demonstrating that correction of a human repair deficiency can be achieved by transferring very small fragments of DNA from normal hamsters into XP cells. One of the complementation groups of XP cells (group C) appears to express a change in gene regulation such that these cells repair only a small clustered region of the DNA with high efficiency. (shrink)

The Western focus on personal autonomy as the normative basis for securing persons’ consent to their treatment renders this autonomy-based approach to informed consent vulnerable to the charge that it is based on an overly atomistic understanding of the person. This leads to a puzzle: how does this generally-accepted atomistic understanding of the person fits with the emphasis on familial consent that occurs when family members are provided with the opportunity to veto a prospective donor’s wish to donate after (...) she has died and her organs are being considered for harvesting? It is argued in this paper that this charge can be met and this puzzle dissolved once it is recognized that autonomy is an inherently social concept. (shrink)

We know from the research literature that psychotherapy is effective, but we also know that hundreds of diverse therapies are being practiced that have not been subjected to scientific scrutiny; thus, in some circumstances iatrogenic effects do occur. Therefore, it is crucial that we recognize and implement therapeutic interventions that are evidence based rather than succumb to ethical dilemma, frustration, and complacency. Recommendations for family therapists are discussed, including the need to (a) keep abreast of research findings, (b) translate (...) research findings and developments as they apply to clinical practice, (c) prioritize techniques and intervention models, and (d) reexamine funding priorities and research foci. (shrink)

Intellectual history and the history of political thought are siblings, perhaps even twins. They have similar origins and use similar materials. They attract many of the same friends and make some of the same enemies. Yet like most siblings, they have different temperaments and ambitions. This essay explores the family resemblances and draws out the contrasts by examining two major works by one of the most prominent political theorists of the past half-century, Alan Ryan, who has recently published two (...) big books that intellectual historians will find rewarding and provocative. (shrink)

Expressing doubts about death criteria can serve healthy purposes, but can also cause a number of harms, including decreased organ donation rates and distress for donor families and health care staff. This paper explores the various causes of doubts about death criteria—including religious beliefs, misinformation, mistrust, and intellectual questions—and recommends responses to each of these. Some recommended responses are relatively simple and noncontroversial, such as providing accurate information. However, other responses would require significant changes to the way we currently do (...) business. Policymakers should establish minimum national standards for determining death to foster a trustworthy system; academics and publishers have a duty to publish only materials that substantially engage and advance the debate to minimize the harm caused by divided expert opinion; and opposition to the dead donor rule should be conceptually separated from doubts about death criteria. (shrink)

How ought we to understand the sources and limits of the authority of family members to make health care decisions for their decisionally incapacitated relatives? This question is becoming increasingly crucial as the population ages and the power of medical technology waxes. It is also becoming increasingly contested, as faith in advance directives shows signs of waning, and the moral complexities of intimate relationship become more theoretically patent.This last point—the newly visible moral richness of intimate relationship—provides this paper with (...) its field. I am interested in probing the images of the relationship between self and other, particularly self and intimate other, that seem presupposed by some leading attempts to determine the basis for proxy decision-making authority, and what constraints it must observe. In the light of both recent work in the philosophy of mind and considerations closer to common experience, the reigning images seem too slight to support the weight of current practices and beliefs about proxy authority; supplanting them with images more faithful to our experience will have implications for our practice with proxies. (shrink)

When it comes to liberalism, the usual story in postwar America is one of decline, accompanied by the subplot of conservatism’s ascendance. But take a longer view—look beyond and below politics—and it is the unchallenged triumph of liberalism and its philosophical assumptions that ought to command our attention. The triumph of liberalism means the tyranny of liberalism, explains James Kalb in this illuminating book, for liberalism is the extension into the sociopolitical realm of modern scientific thought and technological rationality. (...) These modes of thinking are regarded by nearly everyone today as uniquely authoritative; those institutions and beliefs which do not conform are regarded at best as annoyances, and at worst as evil. Furthermore, Kalb shows how liberalism is an expression of the interests and outlook of commercial and managerial elites, who are suspicious of less rationalized and controllable forms of social organization like the family. Kalb does not merely rehearse a tale of woe, nor is he content simply to analyze the current situation. With reference to concrete issues such as the debate surrounding same-sex marriage, he outlines the kind of traditionalist response to liberalism that is likely to be most effective. He argues that traditional, decentralized, and nonliberal forms of social organization are ultimately impossible to eradicate, and he shows how more human forms of association than those favored by liberalism might once again be brought into being. (shrink)

Southern Appalachia is unique among agroecological regions of the American South because of the diverse environmental conditions caused by its mountain ecology, the geographic and commercial isolation of the region, and the relative cultural autonomy of the people that live there. Those three criteria, combined with a rich agricultural history and the continuance of the homegardening tradition, make southern Appalachia an area of relatively high crop biodiversity in America. This study investigated the history and survival of traditional heirloom vegetable crops (...) in western North Carolina and documented 134 heirloom varieties that were still being grown. I conducted interviews with 26 individuals from 12 counties in western North Carolina. I used a snowball sampling method to identify individuals or communities that maintained heirloom vegetable varieties, and used the “memory banking” of farmers’ knowledge as a strategy to complement the gathering of seed specimens. Most of the varieties were grown and saved by homegardeners; beans were the most numerous. Results indicate that usually only one or two individuals in a community maintained significant numbers of heirloom varieties and that many communities have lost their heirloom vegetable heritage altogether. The decline of the farming population combined with a lack of cultural continuance in family seed-saving traditions threatens the ability of communities to maintain crop biodiversity. Some of the cultivars may represent the last (small) populations of endangered varieties. (shrink)

In 2012, a U.S. Institute of Medicine report called for a different approach to health care: “Left unchanged, health care will continue to underperform; cause unnecessary harm; and strain national, state, and family budgets.” The answer, they suggested, would be a “continuously learning” health system. Ethicists and researchers urged the creation of “learning health organizations” that would integrate knowledge from patient‐care data to continuously improve the quality of care. Our experience with an ongoing research study on atrial fibrillation—a trial (...) known as IMPACT‐AFib—gave us some insight into one of the challenges that will have to be dealt with in creating these organizations. Although the proposed educational intervention study placed no restrictions on what providers and health plans could do, the oversight team argued that the ethical principle of beneficence did not allow the researchers to be “bystanders” in relation to a control group receiving suboptimal care. In response, the researchers designed a “workaround” that allowed the project to go forward. We believe the experience suggests that what we call “bystander ethics” will create challenges for the kinds of quality improvement research that LHOs are designed to do. (shrink)

If the ordinary quantal Liouville equation ℒρ= $\dot \rho $ is generalized by discarding the customary stricture that ℒ be of the standard Hamiltonian commutator form, the new quantum dynamics that emerges has sufficient theoretical fertility to permit description even of a thermodynamically irreversible process in an isolated system, i.e., a motion ρ(t) in which entropy increases but energy is conserved. For a two-level quantum system, the complete family of time-independent linear superoperators ℒ that generate such motions is derived; (...) and a physically interesting example is presented in detail. (shrink)

The doctrine of the Eucharist has been one of the more fruitful locales of philosophical reflection within Christian theology. The central philosophical question has been, ‘what is the state of affairs such that it is apt to say of a piece of bread, “This is the body of Christ”?’ In this article, I offer a delineation of various families of answers to this question as they have been proffered in the history of the church. These families are distinguished by how (...) they view the presence of the body of Christ as well as the continued presence of the bread and wine after consecration. I then provide a specific examination of some recent attempts to explicate these views. A number of the recent work has focused on the Roman Catholic doctrine of transubstantiation, but I also survey consubstantiation, transignification, and a recent revival of impanation as potential means for describing the metaphysical realities of the Eucharist. (shrink)

In this chapter we argue that the four principles of medical ethics -- beneficence, non-maleficence, respect for autonomy and justice (Beauchamp & Childress, 2001; Gillon, 1985), a new Family Interest Principle (introduced below) and a consideration of ‘capacity’ provide a reasoned practice guide for work with mothers experiencing health problems, focussing here on mental health when a parent is a patient. Our concern is the relationship of the clinician with a parent and through the parent their child. Ethics of (...) service provision or services planning (e.g. Culyer, 2001; McLachlan, 2005; see also Newbigging and Paul, chapter xxx), or the provision of other services (e.g. education, child protection) although intensely relevant to this area are not addressed in this chapter nor will we deal with the complex aspects of medical ethics relating to the treatment of children (Baines, 2008). We use the term ‘parent’ to refer to any adult person who fulfils a substantive parental role with a child. Defining what counts as a family will in certain circumstances be contentious. There are diverse patterns of family arrangements that may be influenced by cultural, political economic and temporal factors. For the purposes of our discussion, we define a family in terms of its role in childrearing, as a group of at least one adult and at least one child, living together in long term relationships on an ongoing basis with vested interest in the well being of each of the family members. (shrink)